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Legacy Clinic Woodburn
Non-Pharmacy Dispensing Site in Woodburn, Oregon
NPI 1821260860

Legacy Clinic Woodburn is a Non-Pharmacy Dispensing Site based in San Diego, OR. Legacy Clinic Woodburn practices in Woodburn, OR. The NPI Number for Legacy Clinic Woodburn is 1821260860 and holds a License No. MD19203 (Oregon).

The current practice location address for Legacy Clinic Woodburn is 1002 N Boones Ferry Rd, Woodburn, OR and can be reached out via phone at 503-981-9526.

Location: 1002 N Boones Ferry Rd, Woodburn, OR, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821260860
Provider Name
Legacy Clinic Woodburn
Credential
Provider Entity Type
Organization
Address
1002 N Boones Ferry Rd, Woodburn, OR, 92121-1705
Phone Number
503-981-9526
Fax Number
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1002 N Boones Ferry Rd
City
Woodburn
State
Oregon
Zip
97071-9602
Phone Number
503-981-9526
Fax Number
person
Provider Business Mailing Address Details
Address
1002 N Boones Ferry Rd
City
Woodburn
State
Oregon
Zip
97071-9602
Phone Number
503-981-9526
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
MD19203 (Oregon)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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